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A latent class anal...
A latent class analysis of mental disorders, substance use, and aggressive antisocial behavior among Swedish forensic psychiatric patients
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- Green, Johan (author)
- University of Gothenburg,Gothenburg University,Göteborgs universitet,Centrum för etik, juridik och mental hälsa,Psykologiska institutionen,Centre for Ethics, Law, and Mental Health,Department of Psychology,Sahlgrenska Academy
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- Lindqvist Bagge, Ann-Sophie (author)
- University of Gothenburg,Gothenburg University,Göteborgs universitet,Psykologiska institutionen,Centrum för etik, juridik och mental hälsa,Department of Psychology,Centre for Ethics, Law, and Mental Health,Sahlgrenska Academy
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- Laporte, N. (author)
- Lund University,Lunds universitet,Gothenburg University,Göteborgs universitet,Centrum för etik, juridik och mental hälsa,Centre for Ethics, Law, and Mental Health,Psykiatri, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Psychiatry (Lund),Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Regional Forensic Psychiatric Clinic in Växjö,Sahlgrenska Academy
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- Andiné, Peter (author)
- Gothenburg University,Göteborgs universitet,Centrum för etik, juridik och mental hälsa,Centre for Ethics, Law, and Mental Health,Sahlgrenska University Hospital,Swedish National Board of Forensic Medicine, Göteborg,Sahlgrenska Academy
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- Wallinius, Märta, 1981 (author)
- Lund University,Lunds universitet,Gothenburg University,Göteborgs universitet,Centrum för etik, juridik och mental hälsa,Centre for Ethics, Law, and Mental Health,Psykiatri, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Psychiatry (Lund),Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Regional Forensic Psychiatric Clinic in Växjö,Sahlgrenska Academy
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- Hildebrand Karlén, Malin, 1984 (author)
- University of Gothenburg,Gothenburg University,Göteborgs universitet,Centrum för etik, juridik och mental hälsa,Psykologiska institutionen,Centre for Ethics, Law, and Mental Health,Department of Psychology,Sahlgrenska Academy,Swedish National Board of Forensic Medicine, Göteborg
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(creator_code:org_t)
- 2023
- 2023
- English.
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In: Comprehensive Psychiatry. - 0010-440X .- 1532-8384. ; 127
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http://dx.doi.org/10... (free)
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https://gup.ub.gu.se...
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Abstract
Subject headings
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- Background: Patients in the forensic mental health services (FMHS) with a mental disorder, a co-occurring substance use disorder (SUD), and high risk of aggressive antisocial behavior (AAB) are sometimes referred to as the ‘triply troubled’. They suffer poor treatment outcomes, high rates of criminal recidivism, and increased risk of drug related mortality. To improve treatment for this heterogeneous patient group, more insight is needed concerning their co-occurring mental disorders, types of substances used, and the consequent risk of AAB. Methods: A three-step latent class analysis (LCA) was used to identify clinically relevant subgroups in a sample of patients (n = 98) from a high-security FMHS clinic in Sweden based on patterns in their history of mental disorders, SUD, types of substances used, and AAB. Results: A four-class model best fit our data: class 1 (42%) had a high probability of SUD, psychosis, and having used all substances; class 2 (26%) had a high probability of psychosis and cannabis use; class 3 (22%) had a high probability of autism and no substance use; and class 4 (10%) had a high probability of personality disorders and having used all substances. Both polysubstance classes (1 and 4) had a significantly more extensive history of AAB compared to classes 2 and 3. Class 3 and class 4 had extensive histories of self-directed aggression. Conclusions: The present study helps disentangle the heterogeneity of the ‘triply troubled’ patient group in FMHS. The results provide an illustration of a more person-oriented perspective on patient comorbidity and types of substances used which could benefit clinical assessment, treatment planning, and risk-management among patients in forensic psychiatric care.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Keyword
- Aggressive antisocial behavior
- Co-occurring disorders
- Latent class analysis
- Mental disorders
- Substance use disorder
Publication and Content Type
- ref (subject category)
- art (subject category)
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